title: Use of clinical bleaching with 35% hydrogen peroxide in esthetic improvement of fluorotic human incisors in vivo.
abstract: OBJECTIVE
  The aim of the study was to evaluate esthetic improvement with the use of 35% hydrogen peroxide clinical bleaching as related to the different grades of enamel fluorosis in vivo and to study adverse effect of clinical bleaching with 35% hydrogen peroxide on teeth and gingiva.
  
  
  METHODS
  A total of 60 children of different grades of fluorosis were included in the study. With 35% hydrogen peroxide-based dual activated bleaching system, in-office vital teeth bleaching was carried out for each subject. Clinical evaluation for improvement in esthetics, effect on teeth and gingiva were performed for each child during preoperative, immediate postoperative and later 6 months postoperative period. For evaluation and comparison, all the collected data were subjected to statistical analysis.
  
  
  RESULTS
  Although in all the subjects, partial shade relapse was seen over a period of time, good homogeneous and esthetic results were seen in very mild and mild cases. A total of 35% hydrogen peroxide in-office bleaching has no adverse effect on teeth and gingiva.
  
  
  CONCLUSIONS
  Comparing all the three groups who participated in the study, 35% hydrogen peroxide in-office bleaching seems to be very effective in very mild and mild forms of fluorosis.
  
  
  CONCLUSIONS
  In very mild and mild forms of fluorosis, in-office vital tooth bleaching with 35% hydrogen peroxide is the most conservative and effective approach in esthetic improvement.
authors.affiliation: Department of Pedodontics, Bharati Vidyapeeth Dental College, Sangli, Maharashtra, India. drraghu.kiddoc@gmail.com
authors.forename: Raghavendra
authors.initials: R
authors.lastname: Shanbhag
authors.forename: R
authors.initials: R
authors.lastname: Veena
authors.forename: Girish
authors.initials: G
authors.lastname: Nanjannawar
authors.forename: Jaykumar
authors.initials: J
authors.lastname: Patil
authors.forename: Santosh
authors.initials: S
authors.lastname: Hugar
authors.forename: Hemanth
authors.initials: H
authors.lastname: Vagrali
mesh_terms: D000293:Adolescent; D002327:Cariostatic Agents / Q000627:therapeutic use; D003116:Color; D003807:Dentin Sensitivity / Q000517:prevention & control; D004955:Esthetics, Dental; D005460:Fluorides, Topical / Q000627:therapeutic use; D009050:Fluorosis, Dental / Q000145:classification / Q000188:drug therapy*; D005500:Follow-Up Studies; D005782:Gels; D005881:Gingiva / Q000187:drug effects; D006801:Humans; D006861:Hydrogen Peroxide / Q000627:therapeutic use*; D007180:Incisor / Q000187:drug effects*; D008027:Light; D017060:Patient Satisfaction; D023861:Photography, Dental / Q000379:methods; D012008:Recurrence; D014073:Tooth Bleaching / Q000379:methods*; D058205:Tooth Bleaching Agents / Q000627:therapeutic use*; D014075:Tooth Discoloration / Q000188:drug therapy; D016896:Treatment Outcome
chemical_list: D002327:Cariostatic Agents; D005460:Fluorides, Topical; D005782:Gels; D058205:Tooth Bleaching Agents; D006861:Hydrogen Peroxide